ON CALL - Acute Ischemic Stroke

Introduction

Acute Ischemic Stroke (AIS) is commonly seen in the Neuro ICU due in part to the most recent advances in therapy, namely intravenous thrombolysis, mechanical thrombectomy (MT), and surgical decompression of large infarcts. The literature on AIS is extensive and well summarized by several references. The guideline for AIS management from the American Heart Association is the most recent and comprehensive evidence-based review and is highly recommended for neurointensivists. It has been recently updated in light of the newer endovascular and thrombolysis trials. Similar European reviews and guidelines are also available. This chapter focuses on acute large vessel ischemic stroke due to its morbidity and dependence on neurocritical care.